| Ellen Weisberg | |
|
325 S 20th St Phila PA 19103-6533 | |
| (215) 985-1947 | |
| (215) 985-3633 |
| Full Name | Ellen Weisberg |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 325 S 20th St, Phila, Pennsylvania |
| Authorized Official Name and Position | Ellen Vicky Weisberg (PSYCHOLOGIST) |
| Authorized Official Contact | 2159851947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Weisberg 325 S 20th St Philadelphia PA 19103-6533 Ph: (215) 985-1947 | Ellen Weisberg 325 S 20th St Phila PA 19103-6533 Ph: (215) 985-1947 |
| NPI Number | 1457384943 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457384943 | NPI | - | NPPES |
| 731333 | Other | PA | HIGHMARK BLUE SHIELD |
| 1578591350 | Other | NPI | |
| 50001372 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS-006488-L (Pennsylvania) | Primary |
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